MEDICARE: MARISSA LIGHTKEP MS, LGPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LGP17713	MD

General Provider Information

NPI Number	:	1538003629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA LIGHTKEP MS, LGPC

Provider Business Mailing Address
First Line	:	3459 SAINT JOHNS LN STE 7
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-4026
Country	:	US
Telephone Number	:	215-872-4575
Fax Number	:

Provider Business Practice Location Address
First Line	:	3459 SAINT JOHNS LN STE 7
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-4026
Country	:	US
Telephone Number	:	443-297-9292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

Similar Medicare Providers

1275653636 — MIHEE CHANG DMD
Practice Location Address:

3459 SAINT JOHNS LN STE 5
ELLICOTT CITY, MD
21042-4026

Practice Phone: 410-465-2577
Practice Fax:

1861644403 — MARIETTE BURGER MHS, OTR/L
Practice Location Address:

4026 CRESCENT RD
ELLICOTT CITY, MD
21042-5306

Practice Phone: 443-850-7773
Practice Fax:

1710453808 — YOUNG JI ACUPUNCTURE CLINIC
Practice Location Address:

3459 SAINT JOHNS LN STE 9
ELLICOTT CITY, MD
21042-4026

Practice Phone: 703-505-7387
Practice Fax:

1467797191 — SPECTRUM ORTHOTICS AND PROSTHETICS, INC.
Practice Location Address:

887 PLUMAS ST STE A
YUBA CITY, CA
95991-4026

Practice Phone: 530-418-8338
Practice Fax: 530-815-2736

1770607160 — MOJGAN ARSHI
Practice Location Address:

445 I ST , SUITE B
CRESCENT CITY, CA
95531-4026

Practice Phone: 707-464-3709
Practice Fax: 707-464-1881

1366759441 — HIGH ACHIEVERS LLC
Practice Location Address:

1838 COURTSIDE PLACE DR
MISSOURI CITY, TX
77489-4026

Practice Phone: 281-704-5972
Practice Fax:

Directions to “ MARISSA LIGHTKEP MS, LGPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.